Abstract
Six patients with solitary pyogenic splenic abscesses treated by CT-guided percutaneous drainage (by catheter or needle), are presented. There were 3 unilocular, purely intrasplenic abscesses and 3 complex lesions with loculations and perisplenic involvement. Percutaneous drainage and intravenous antibiotics were curative in 4 patients. In the other 2, who had multiloculated abscesses, despite initially successful drainage, splenectomy was performed because of intractable left upper quadrant pain in one case and persistent fever and drainage of pus after 30 days in the other. These patients also developed large, sterile left pleural effusions.
Solitary pyogenic splenic abcesses — particularly if uniloculated — can be effectively treated by CT-guided percutaneous drainage.
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Van Sonnenberg E, Mueller PR, Ferrucci JT Jr (1984) Percutaneous drainage of 250 abdominal abscesses and fluid collections. Part I: Results, failures and complications. Radiology 151: 337–341
Haaga JR (1990) Imaging intraabdominal abscess and nonoperative drainage procedures. World J Surg 14: 204–209
Nelken N, Ignatius J, Skinner M, Christensen N (1987) Changing clinical spectrum of splenic abscess: A multicenter study and review of the literature. Am J Surg 154: 27–34
Faught WE, Gilbertson JJ, Nelson EW (1989) Splenic abscess: presentation, treatment options and results. Am J Surg 158: 612–614
Berkman WA, Harris SA, Bernardino ME (1983) Nonsurgical drainage of splenic abscess. AJR 141: 395–396
Sones PJ (1984) Percutaneous drainage of abdominal abscesses. AJR 142: 35–39
Lerner RM, Spataro RF (1984) Splenic abscess: Percutaneous drainage. Radiology 153: 643–645
Sclafani SJA, Goldstein AS, Shaftan GW (1984) Interventional radiology: a alternative to operative drainage of post-traumatic abscesses. J Trauma 24: 299–306
Gerzof SG, Johnson WC, Robbins AH, Nabseth DC (1985) Expanded criteria for percutaneous abscess drainage. Arch Surg 120: 227–232
Wernecke K, Heckemann R (1985) Treatment of pyogenic splenic abscess by ultrasonically guided fine needle puncture. Eur J Radiol 5: 216–217
Cheesbrough JS, Jones EW, Finch RG (1985) The management of splenic abscess. Quart J Med 57: 653–657
Quinn SF, Van Sonnenberg E, Casola G, Wittich GR, Neff CC (1986) Interventional radiology in the spleen. Radiology 161: 289–291
Gleich S, Wolin DA (1988) A review of percutaneous drainage in splenic abscess. Surg Gynecol Obstet 167: 211–216
Van der Laan RT, Verbeeten B Jr, Smits NJ, Lubbers MJ (1989) Computed tomography in the diagnosis and treatment of solitary splenic abscesses. J Comput Assist Tomogr 13: 71–74
Mueller PR, Van Sonnenberg E, Ferrucci JT Jr (1984) Percutaneous drainage of 250 abdominal abscesses and fluid collections. Part II: Current procedural concepts. Radiology 151: 343–347
Chun CH, Raff MJ, Contreras L, Varghese R, Waterman N, Daffner R, Melo JC (1980) Splenic abscess. Medicine 59: 50–65
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Pombo, F., Suarez, I., Marini, M. et al. CT-guided percutaneous treatment of solitary pyogenic splenic abscesses. Eur. Radiol. 1, 70–74 (1991). https://doi.org/10.1007/BF00540109
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DOI: https://doi.org/10.1007/BF00540109